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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Dark And Purplish-red Patches And Swelling On Toes?

dark, purplish-red patches on pad of big right toe and pad of toe next to it. Painful when pressure put on foot. These two toes visually different from same toes on left foot. They are are slightly swollen. Is this a circulatory and/or blood clotting problem?
Mon, 12 Dec 2016
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Orthopaedic Surgeon,  's  Response
First some lab investigations should be done like CBC, serum uric acid, foot x ray. This mostly acute gout arthritis. You should take topical and oral non steroidal antiinflammatory 3 times daily for 2 weeks. In case of gout, you should start with allopurinol 2 tablets daily for one month and repeat serum uric acid analysis.
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What Causes Painful Dark And Purplish-red Patches And Swelling On Toes?

First some lab investigations should be done like CBC, serum uric acid, foot x ray. This mostly acute gout arthritis. You should take topical and oral non steroidal antiinflammatory 3 times daily for 2 weeks. In case of gout, you should start with allopurinol 2 tablets daily for one month and repeat serum uric acid analysis.